NPIMap

Organization Active NPI

Upstate Senior Living, Inc.

  • Skilled Nursing Facility
  • Greenville, SC
National Provider Identifier
1952530867
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF - 0975 Issued in SC
Legal business name
UPSTATE SENIOR LIVING, INC.
Practice address
50 Arboretum Way
Greenville, SC 29617-6226
Phone
(864) 371-3300
Fax
(864) 371-3301
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jim Neal
Title
Chairman of the Board
Phone
(864) 371-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF - 0975 SC Primary

Addresses

Primary practice location

50 Arboretum Way
Greenville, SC 29617-6226

Mailing address

1500 Trailhead CT
Greenville, SC 29617-6226
Phone (864) 371-3100

Other names 1

  • The Arboretum at The Woodlands at Furman Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090818000501 SC Part A Provider - Skilled Nursing Facility 3678627148 Practice locations: Greenville, SC

Skilled nursing facility certification: CCN 425394

Legal name
UPSTATE SENIOR LIVING, INC.
Doing business as
THE ARBORETUM AT THE WOODLANDS
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Nov 25, 2009
Last certification
Oct 24, 2024
Beds
30
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Enrollment address
1500 Trailhead CT
Greenville, SC 29617-6226
Nursing home name
THE ARBORETUM AT THE WOODLANDS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Arboretum At The WoodlandsCCN 425394
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare
Ownership
Non profit - Other
Certified
Nov 25, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3028.8 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1099616Arboretum at the Woodlands at Furman50 Arboretum Way, Greenville, SC 29617Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kelly Todd Individual Corporate Officer Aug 17, 2009
Adp of the SNF Aug 17, 2009
Troy Lee Cannaday Individual Corporate Officer Jul 30, 2009
Operational/Managerial Control Jan 1, 2014
Upstate Senior Living, Inc. Organization, Greenville, SC Non-profit Operational/Managerial Control Jul 30, 2009
James Brackett Individual Corporate OfficerPresident/Ceo Jul 1, 2021
Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1952530867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TRAILHEAD CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296176226",
            "telephone_number": "864-371-3100",
            "fax_number": "864-371-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ARBORETUM WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296176226",
            "telephone_number": "864-371-3300",
            "fax_number": "864-371-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "864-371-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF - 0975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Arboretum at The Woodlands at Furman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.